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IMAGE FUSION ANGIOBRAINLAB ELEMENTS IMAGE FUSION ANGIOVersion 1.0

Software User GuideRevision 1.1Date of issue: 2019-11-27 (ISO 8601)Copyright 2019, Brainlab AG Germany. All rights reserved.

TABLE OF CONTENTS1 GENERAL INFORMATION.............................................................................................5

1.1 Contact Data ........................................................................................................................................5

1.2 Legal Information ...............................................................................................................................6

1.3 Symbols................................................................................................................................................7

1.4 Using the System ...............................................................................................................................8

1.5 Compatibility with Medical Devices and Software ......................................................................9

1.6 Training and Documentation..........................................................................................................10

2 SOFTWARE OVERVIEW ...............................................................................................11

2.1 About Image Fusion Angio.............................................................................................................11

2.2 Screen Layout ...................................................................................................................................14

2.3 Navigation Buttons ..........................................................................................................................15

2.4 Data Menu ..........................................................................................................................................17

2.5 Shortcuts ............................................................................................................................................18

3 USING IMAGE FUSION ANGIO ..............................................................................19

3.1 Accepting Image Pairs ....................................................................................................................19

3.2 Adjusting the ROI .............................................................................................................................22

3.3 Fusing Image Pairs ..........................................................................................................................23

3.4 Manually Adjusting Fusion Results .............................................................................................25

3.5 Reviewing and Verifying Alignment Accuracy...........................................................................27

3.6 Finalizing and Approving Image Fusion Angio .........................................................................29

3.7 Color Intensity Projection (CIP) Images ......................................................................................31

TABLE OF CONTENTS

Software User Guide Rev. 1.1 Image Fusion Angio Ver. 1.0 3

TABLE OF CONTENTS

4 Software User Guide Rev. 1.1 Image Fusion Angio Ver. 1.0

1 GENERAL INFORMATION1.1 Contact Data

Support

If you cannot find information you need in this guide, or if you have questions or problems, contactBrainlab support:

Region Telephone and Fax Email

United States, Canada, Centraland South America

Tel: +1 800 597 5911Fax: +1 708 409 1619

[email protected]

Brazil Tel: (0800) 892 1217 [email protected]

UK Tel: +44 1223 755 333

[email protected]

Spain Tel: +34 900 649 115

France and French-speakingregions Tel: +33 800 676 030

Africa, Asia, Australia, EuropeTel: +49 89 991568 1044Fax: +49 89 991568 811

JapanTel: +81 3 3769 6900Fax: +81 3 3769 6901

Expected Service Life

Brainlab provides five years of service for software applications. During this period of time,software updates as well as field support are offered.

Feedback

Despite careful review, this user guide may contain errors. Please contact us [email protected] if you have improvement suggestions.

Manufacturer

Brainlab AGOlof-Palme-Str. 981829 MunichGermany

GENERAL INFORMATION


mailto://[email protected]



mailto:[email protected]

1.2 Legal Information

Copyright

This guide contains proprietary information protected by copyright. No part of this guide may bereproduced or translated without express written permission of Brainlab.

Brainlab Trademarks

Brainlab® is a registered trademark of Brainlab AG in Germany and/or the US.

Non-Brainlab Trademarks

Microsoft® and Windows® are registered trademarks of Microsoft Corporation in the United Statesand other countries.

Patent Information

This product may be covered by one or more patents or pending patent applications. For details,see: www.brainlab.com/patent.

Integrated Third-Party Software

This software is based in part on the following work. The full license and copyright notice can befound at the links below:• Independent JPEG Group (https://github.com/uclouvain/openjpeg/blob/master/LICENSE)• Xerxes-C++ 3.1.1 software, developed by the Apache Software Foundation (http://

www.apache.org/)• libtiff 4.0.4 beta (http://www.libtiff.org/misc.html)

CE Label

The CE label indicates that the Brainlab product complies with the essential re-quirements of European Council Directive 93/42/EEC, the Medical Device Direc-tive (“MDD”).Brainlab Elements Image Fusion Angio is a Class IIb product according to therules established by the MDD.

Report Incidents Related to This Product

You are required to report any serious incident that may have occurred related to this product toBrainlab, and if within Europe, to your corresponding national competent authority for medicaldevices.

Sales in US

US federal law restricts this device to sale by or on the order of a physician.

Legal Information


https://www.brainlab.com/patent/

https://github.com/uclouvain/openjpeg/blob/master/LICENSE

http://www.apache.org/

http://www.apache.org/

http://www.libtiff.org/misc.html

1.3 Symbols

Warnings

WarningWarnings are indicated by triangular warning symbols. They contain safety-criticalinformation regarding possible injury, death or other serious consequences associatedwith device use or misuse.

Cautions

Cautions are indicated by circular caution symbols. They contain important informationregarding potential device malfunctions, device failure, damage to device or damage toproperty.

Notes

NOTE: Notes are formatted in italic type and indicate additional useful hints.

Symbols in This Software

Symbol Explanation

Refer to instruction manual/booklet

Electronic instructions for use

Article number

Date of manufactureNOTE: The date is expressed as in ISO 8691 as YYYY-MM-DD.

Manufacturer

U.S. federal law restricts this device to sale by or on order of a physician

Unique Device Identifier

Medical device

GENERAL INFORMATION


1.4 Using the System

Intended Use/Indications for Use

Brainlab Elements Image Fusion Angio is a software application that is intended to be used forthe co-registration of cerebrovascular image data.The application can be used in clinical workflows that benefit from the co-registration of vascularimage data as a planning or preplanning step for the treatment of cerebrovascular malformations.

Intended Patient Population

There are no demographic, regional or cultural limitations for patients. It is up to the user to decideif the system shall be used to assist a certain procedure.

Intended User Profile

The application is intended to be used by medical professionals and their assistants working in thefield of neurosurgery, neuroradiology or radiotherapy planning.

Intended Use Environment

The system shall be used in a hospital office environment or rooms appropriate for surgicalinterventions.The system can be installed on a standard Windows computer with the defined minimumrequirements.A more specific intended use environment (e.g., a specific planning station or navigation platform),may be present when the device is used in combination with other devices. The intended useenvironment is then stated in the technical file of the corresponding system.

Plausibility Review

WarningBefore patient treatment, review the plausibility of all information input to and output fromthe system.

Using the System


1.5 Compatibility with Medical Devices and Software

Compatible Brainlab Medical Software

Only Brainlab medical software specified by Brainlab may be installed and used with the system.Contact Brainlab support for clarification regarding compatibility with Brainlab medical software.

Non-Brainlab Software

Only authorized Brainlab employees may install software on the Brainlab system. Do notinstall or remove any software applications.

Microsoft Security Updates for Windows and Driver Updates

Brainlab allows the installation of security patches only. Do not install service packs and optionalupdates. Verify your settings to ensure updates are downloaded and installed correctly and at asuitable time. Do not update drivers on Brainlab platforms.See the Brainlab website for more information about settings and a list of Microsoft SecurityUpdates blocked by Brainlab support.Address: www.brainlab.com/updatesPassword: WindowsUpdates!89

Updates

WarningUpdates to the operating system (hotfixes) or third-party software should be performedoutside clinical hours and in a test environment to verify correct operation of the Brainlabsystem. Brainlab monitors the released Windows hotfixes and will know, for some updates,if problems can be expected. Contact Brainlab support if any problems to operating systemhotfixes are encountered.

Virus Scanning and Malware

Brainlab recommends protecting the system with state-of-the-art anti-virus software.Be aware that some malware protection software (e.g., virus scanner) settings can negativelyaffect system performance. For example, if real-time scans are performed and each file access ismonitored, then loading and saving patient data may be slow. Brainlab recommends disablingreal-time scans and performing virus scans during non-clinical hours.

WarningEnsure that your anti-virus software does not modify any Brainlab directories, specifically:• C:\Brainlab, D:\Brainlab, F:\Brainlab, etc.• C:\PatientData, D:\PatientData, F:\PatientData, etc.

WarningDo not download or install updates during treatment planning.Contact Brainlab support for further information regarding any of these issues.

GENERAL INFORMATION


https://www.brainlab.com/updates/

1.6 Training and Documentation

Brainlab Training

Before using the system, all users must participate in a mandatory training program held by aBrainlab authorized representative to ensure safe and appropriate use.

Supervised Support

Before using the system for surgical procedures where computer-aided navigation is consideredcritical, perform a sufficient number of complete procedures together with a Brainlabrepresentative.

Intended Audience

This user guide is intended for medical professionals and their assistants working in the field ofneurosurgery, neuroradiology or radiotherapy planning while using a Brainlab navigation system.

Reading User Guides

This guide describes complex medical software or medical devices that must be used with care.It is therefore important that all users of the system, instrument or software:• Read this guide carefully before handling the equipment• Have access to this guide at all times

Available User Guides

NOTE: Available user guides vary depending upon the Brainlab product. If you have questionsregarding the user guides you received, please contact Brainlab support.

User Guide Contents

Software User Guides• Overview of treatment planning and image-guided navigation• Description of OR system setup• Detailed software instructions

Hardware User Guides Detailed information on radiotherapy and surgical hardware, typi-cally defined as large complex instruments

Instrument User Guides Detailed instructions on instrument handling

Cleaning, Disinfection andSterilization Guide Details on cleaning, disinfecting and sterilizing instruments

System User Guide Detailed information on system setup

Technical User Guide Detailed technical information on the system, including specifica-tions and compliances

System and Technical UserGuide

Combines the contents of the System User Guide and the Techni-cal User Guide.

Training and Documentation


2 SOFTWARE OVERVIEW2.1 About Image Fusion Angio

Background

Image Fusion Angio is software that allows you to register digital subtraction angiographies tovascular images in order to combine flow and location information. You can fuse 2D DSA (digitalsubtraction angiography) sequences to MRA, CTA and 3D DSA sequences.Image Fusion Angio proposes a fusion network based on predefined pairing rules. For furtherinformation contact Brainlab.

Working Principle

Image Fusion Angio provides an algorithm to fuse the selected image sets. The algorithmmatches two image sets together with common anatomical structures for optimal fusion results.Manual adjustments or complete manual fusions are supported in addition. Fusion results canalways be reviewed, accepted or discarded.NOTE: Scan protocol recommendations are given in the following chapters or can be found in theBrainlab Scan Protocols.

Scan Recommendations for Best Results

To ensure best results, image data for Image Fusion Angio should follow these scanrecommendations: • Full DICOM information (e.g., complete DICOM header and indicating acquisition parameters)• Good raw image quality (e.g., high resolution, high contrast, minimal artifacts)

3D Scan Recommendations

The following sequence types are recommended for Image Fusion Angio:• 3D DSA scans• Contrast-enhanced vascular MR scanning protocols such as TOF or T1 with contrast. Fat

suppression imaging is recommended.• Contrast-enhanced vascular CT scanning protocols• A minimum of 50 slices• Maximum pixel size: 0.7 mm x 0.7 mm• Maximum slice distance: 1.5 mm

2D Scan Recommendations

The following is recommended for 2D DSA scans:• Follow the instructions in the DSA scanning protocol• At least six frames per sequence• Scanning type: STATIC

SOFTWARE OVERVIEW


• Save bi-planar scans separately

Reviewing Image Sets

WarningAlways review the fusion result between the 2D angiographic projections and the vesselsin the 3D scan before proceeding.

Image Modification

Modifying image sets outside of Image Fusion Angio when already in use can lead to corruptionsor inaccuracies.NOTE: The fusion is based on common anatomical structures and is affected by brightnessvariations within the image slices.

Typical Workflow

Step

1. Select patient.

2. Select your workflow (e.g., Cranial > Angio Planning).

3. Select patient data from Data Selection.

4. Start Image Fusion Angio.a. When using data from a bi-planar scanner, images will be automatically paired.b. When using data from a single plane scanner or processed data, the software will pro-

pose frontal-lateral image pairs to be reviewed and approved.

5. Use Adjust and ROI to roughly align the images.

6. Select Fusion to fuse each image set.The algorithm will fuse the 3D scan to the 2D projections.

7. Manually align image sets as necessary.

8. Accept or discard each fused image set.

9. Select Done.Image Fusion Angio closes.NOTE: Depending on your license, color intensity projection (CIP) images may be createdupon closing.

Related Links

Color Intensity Projection (CIP) Images on page 31

How to Start Image Fusion Angio

Step

1. Select patient data.

About Image Fusion Angio


Step

2.

Open Image Fusion Angio from the Content Manager main screen.The software starts.

SOFTWARE OVERVIEW


2.2 Screen Layout

Basic Screen Layout

①

② ③

④

⑤⑥Figure 1

No. Explanation

① View area

② Fusion Header

③ Toolbar

④ Adjust

⑤ Adjust tools for manual alignment (e.g., rotate, enlarge) are displayed on the dottedwhite frame within the view area.

⑥ Movie Player Control slider

Related Links

Adjusting the ROI on page 22Reviewing and Verifying Alignment Accuracy on page 27Manually Adjusting Fusion Results on page 25

Screen Layout


2.3 Navigation Buttons

Basic Navigation Buttons

Button Function

Alerts: Displays available alerts related to the data.

Data: Opens the Data menu and displays the list of fusion pairs and the da-ta selection page.

Home: Displays the main screen of Content Manager.

Back: Returns to the previous step.You are prompted to save or discard the current fusion results.

Done: Confirms the fusion status and continues to the next step.Results are saved for further processing.

Viewing Functions

Button Description

Pan: Pans the complete view.

Scroll: Scroll inside the 2D DSA.

Zoom: Zoom in or out• Drag down/right to zoom in• Drag up/left to zoom out

SOFTWARE OVERVIEW


Button Description

Windowing: Adjust the brightness and contrast.• Drag down/up to increase/decrease the brightness• Drag right/left to increase/decrease the contrast level

Toggle the arrow buttons to cycle through all fusion pairs.

Fusion Options

Button Description

Fusion: Starts an algorithm to fuse the 2D and 3D image sets. You can cal-culate a fusion at any time.

Undo: Undoes the last action. Select repeatedly to undo multiple actions.

ROI: Opens a drop-down menu of available regions of interest (ROI). Selectone to apply it to the current image set.

Adjust: Activates the rotate, move and resize tools in the view area. Alignimages manually using the tools prior to fusion for a good starting point, orafter fusion for manual correction.

Blending: Select to incrementally fade out the 3D image (e.g., during man-ual adjustment).

Navigation Buttons


2.4 Data Menu

Data Menu Layout

①

④

⑤

③

②⑥

Figure 2

No. Component Description

① Other Objects Open to select and view any loaded objects.

② Vessels Open to select any loaded vessels.

③ MORE Leave Image Fusion Angio to return to Data Selectionand select more data.

④ SELECTED DATAView loaded image sets as fusion pairs.Switch between fusion pairs.

⑤ Active fusion pair Select the arrow buttons to cycle through all fusion pairs.

⑥ Open/closed eye Show/hide all objects or vessels. By default, all objectsand vessels are hidden.

SOFTWARE OVERVIEW


2.5 Shortcuts

List of Keyboard Shortcuts

The following shortcuts are available in the software.

Function Description Keyboard Shortcut

Pan Pan the complete view Ctrl + left mouse button. The positionof the click defines the view center.

Scroll Scroll inside the 2D DSA Mouse wheel

Zoom Zoom in and out Ctrl + mouse wheel

Touchscreen Shortcuts

Function Description Touchscreen Shortcut

Pan Pan the complete view Two-finger swipe: The position of thetouch defines the view center.

Scroll Scroll inside the 2D DSA Press a finger on the 2D DSA imageand drag up or down.

Zoom Zoom in and out Press two fingers on the slice imageand pinch inward or outward.

Shortcuts


3 USING IMAGE FUSIONANGIO

3.1 Accepting Image Pairs

Background

Image Fusion Angio analyzes the patient data you selected and suggests pairs of 2D images.This applies to all data from single plane scanners, or when images were further processed.If bi-planar images are used, the application reads the pairing information from the images andthis part is skipped.Suggested pairs may be shown as:• Fused (e.g., a pair approved in a previous session)• Proposed (e.g., the software assumes these images belong together)• Paired, after approval• Unpaired (e.g., after discarding or when no proposal can be made)

You must manually approve each pair before starting fusion with the 3D image.If an automatically suggested pair is not suitable, you can manually change the pairing.

Basis for Building Pairs

① ② ③ ④

Figure 3

Image Fusion Angio proposes angiographic image pairs based on their acquisition time andangle.

No. Description

①

Characteristics:• Imaging modality (e.g., X-ray)• Image number (e.g., total number of frames/images)• Angle at which image was taken

②

Characteristics:• Image name• Orientation (e.g., frontal)• Date and acquisition time

③ Image thumbnail

④ Select the arrow to open the orientation menu.

USING IMAGE FUSION ANGIO


NOTE: By default, all frontal images are displayed in the left column, and all lateral images aredisplayed in the right column.

How to Accept or Decline Automatically Generated Pairs

Figure 4

You must review each pair before continuing with the fusion process. Only paired images can befused.The active pair, shown with an orange border, corresponds to the displayed image set.

Step

1. Review the pairing in orange and confirm that it is acceptable. If it is not acceptable, se-lect X to decline the pair.

2.

When you accept the pair, the status changes to PAIRED.NOTE: If you load image sets that have already been fused, they appear as FUSED.Images from bi-planar acquisitions appear as AUTO-PAIRED. Neither image can bemodified.

3. Continue with the remaining pairs.To switch to a different pair, select your preferred image pair.Only accept the pairs you want. When a minimum of one pair is accepted, you may pro-ceed to the next step.

4. Select Next. The fusion screen opens.

Accepting Image Pairs


How to Manually Create New Pairs

Figure 5

If the software does not automatically suggest a match between two suitable images, you canmanually create pairs.

Step

1. Select an unpaired Frontal image.An orange border appears around the image.

2. Select a corresponding unpaired Lateral image.An orange border appears around the image, and a dotted white line connects the twoimages.

3. If the pair is satisfactory, select the check mark.The images move up under the previous paired image set and the status changes toPAIRED.

How to Change Default Image Orientation

① ②

Figure 6

The software assigns the images to frontal or lateral based on the information provided with thedata. By default, all frontal images are displayed in the left column, and all lateral images aredisplayed in the right column. You can manually change the orientation if an image was assignedincorrectly.

Step

1. Select the arrow button ① for the image that you wish to change.The orientation menu opens ②.

2. Select the appropriate icon (e.g., the lateral representation).The image moves to the other column and displays the correct orientation.

3. Continue with the pairing process.



3.2 Adjusting the ROI

Background

Performing a fusion on a manually defined ROI restricts the fusion algorithm to the ROI area. Itenables higher fusion accuracy in a limited spatial area.The following ROI are available: • All Vessels (default)• Carotid Artery Left• Carotid Artery Right• Carotid Artery Left + Right• Basilar Artery

If not enough information is available in the image set, a more general list of ROI is provided:• All Vessels (default)• Hemisphere Right• Hemisphere Left

NOTE: If the software does not receive enough information, ROI functionality is disabled.

How to Adjust the ROI

Before selecting Fusion, use preselected ROI options to improve alignment accuracy within alimited spatial area.

Step

1.Select ROI.A menu with ROI options opens. The content of the menu depends on theinformation available in the image set.

2.

Select the ROI most useful for your purpose (e.g., usually the artery that is displayed inyour DSA image). The software shows the image set with the selected ROI superimposedin red.NOTE: Ensure that sufficient anatomical information is covered by the region of interest inorder to improve the fusion results.

Related Links

How to Manually Adjust Fusion Results on page 25

Adjusting the ROI


3.3 Fusing Image Pairs

Introduction to Fusing Image Pairs

②

①

Figure 7

After you have accepted pairs and the initial position has been calculated, you can initiate fusionbetween the 2D images and the 3D image. The 3D image is displayed as a red maximumintensity projection (MIP) superimposed over the 2D image.The initial screen shows the proposed fusion as calculated by the software.The toggle ② indicates which image pair is displayed in the view area ①.You can perform any of the following options:• Start a fusion• Set an ROI• Manually align the superimposed images

How to Start a Fusion

The Fusion button on the toolbar becomes active any time a fusion input parameter has changed,such as:• The Movie Player Control position• The position of the image after using Adjust• The ROI

When the button is active, you can start a fusion of the 2D image set with the 3D image.

Step

1. Select Fusion.The software calculates a fusion of the 2D image set with the 3D image.NOTE: You must select Fusion to apply the fusion algorithm to the newlydefined ROI.

2. The suggested fusion is displayed. You can now accept the fusion, or discard it and ad-just it manually before performing fusion again.



How to Restart a Fusion

You can restart a fusion by resetting fused images back to the initial position.

Step

You can either select Undo from the toolbar or select X next to Fused on the Fusion Header.NOTE: Using X to break the fusion allows you to return to the initial image set alignment. If anROI was manually defined to perform a fusion, the break action removes it.

Fusing Image Pairs


3.4 Manually Adjusting Fusion Results

Background

If automatic fusion results are unsatisfactory, you can make manual adjustments.Aligning the image set manually establishes a starting point to aid the registration algorithm and toimprove fusion results.

How to Manually Adjust Fusion Results

①

②

③

④

Step

1.

Select Adjust from the toolbar.A dotted white frame appears in the center of both images.

2. Working with one image at a time, position the image within the brain mask by draggingthe cross symbol in the center ③.

3. Enlarge or decrease the image size by dragging the arrow ④.

4. Rotate the image on its vertical or horizontal axis by dragging the curved handles ②.The orientation guide in the lower left corner of the view provides orientation guidance.



Step

5. Rotate the image to the left or right by dragging the circular handle ①.

6. Use Movie Player Control to verify images are aligned.

Manually Adjusting Fusion Results


3.5 Reviewing and Verifying Alignment Accuracy

Verification Features

Image Fusion Angio offers the following tools to manually verify positioning accuracy, bothbefore and after fusion:• Blending• Windowing• Movie Player Control• Scroll

How to Use Blending

Figure 8

Blending allows you to compare the alignment of the 3D image set with the DSA image bygradually changing the opacity of the 3D image. You can then manually improve alignment. Thesoftware uses a red overlay for vessels.

Step

1.

Select Blending.

2. Drag mouse/finger to the left or right inside the image to incrementally adjust the transpar-ency.Alternatively, start the Movie Player Control to view Blending.NOTE: The default for Blending is set at approximately one-third of the slider. For bestfusion results, reduce the contrast on the slider after manually aligning – but before se-lecting – Fusion.



How to Use Windowing

Windowing enables you to adjust brightness and contrast for each of your fusion pairs.

Step

1.

Select Windowing.

2. Adjust the brightness and contrast in your image set.• Brightness: Drag mouse/finger up or down inside the image• Contrast: Drag the mouse/finger left or right inside the image

How to Use Movie Player Control

① ②Figure 9

Use Movie Player Control to automatically play your DSA image sequence and compare to theplacement of the MIP image.

Step

1. Select the button ① for Movie Player Control underneath the image you want to view.Blending or Windowing of the image sequence will be played in a loop.

2. To pause or stop the player, select the button again.You can manually move the slider ② to jump to a certain position in the image.

Reviewing and Verifying Alignment Accuracy


3.6 Finalizing and Approving Image Fusion Angio

About Finalizing Fusion Results

Before you can close the software, you must review and finalize all pending fusion results. Youcan:• Approve a fusion• Discard a fusion

NOTE: Fusions must be approved in order to use them in other applications.

How to Approve a Fusion Result

Step

1.

Review the fusion result. If the result is satisfactory, accept it on the Fusion Header.

2.

• When you accept the result, the pair is shown as fused.• If you do not accept the result, make adjustments with Adjust and Fusion until results

are satisfactory.

3. The fusion result is saved for further processing. The software loads the next pair.

About Reviewing a Fusion Result

Figure 10

The Review Pending dialog opens if you try to proceed without approving or declining a result.

Options

Review: Allows you to go back and approve the pending results.



Options

Discard: Allows you to proceed without fusion approval.

Finalizing and Approving Image Fusion Angio


3.7 Color Intensity Projection (CIP) Images

Background

CIP image sequences are automatically generated for each fused DSA image upon leaving theapplication.NOTE: Availability of this feature is license dependent.

How to Interpret CIP Images

CIP images provide temporal information on blood flow from a number of sequential DSA images.The arrival time of contrast agent at a given location is color coded into a single composite image.The color of each pixel indicates the time that contrast arrived at that location. Structures with highcontrast attenuation (e.g., larger vessels and vascular lesions) appear brighter.

① ②Figure 11

Here is a DSA image at the beginning of the sequence ① and the corresponding CIP image ②.• Red and orange: Areas that already received contrast agent.• Yellow and green: Areas that are currently receiving contrast agent. These are the areas with

the highest concentration of contrast agent in a given frame.• Turquoise and blue: Areas that have not yet received contrast agent.

For further information, see:Strother CM, Bender F, Deurerling-Zheng Y, et al. Parametric color coding of digital subtractionangiography. AJNR Am J Neuroradiol. 2010 May; 31(5):919-24. doi 10.3174/ajnr.A2020. Epub2010 Feb 18. http://www.ajnr.org/content/31/5/919



Color Intensity Projection (CIP) Images


INDEXA

adjustoriginal fusion images.............................................................25

adjust ROI.................................................................................. 22adjust tools for manual alignment...............................................14alignment....................................................................................27auto-paired................................................................................. 20

Bblending......................................................................................27buttons

fusion options......................................................................... 15navigation............................................................................... 15toolbar.....................................................................................15viewing options....................................................................... 15

Ccustomize fusion pairing.............................................................21

Eenlarge or shrink image..............................................................25

Ffused...........................................................................................20fusion

manual alignment................................................................... 25

Iimage

realignment.............................................................................25image data recommendations.................................................... 11image orientation........................................................................21

Kkeyboard shortcut

pan..........................................................................................18scroll....................................................................................... 18zoom.......................................................................................18

Mmanual adjustment..................................................................... 25manually adjust fusion................................................................25manually change image orientation............................................21movie player control................................................................... 28

Oobjects

eye buttons............................................................................. 17

Ppaired......................................................................................... 20

Rresetting fused images............................................................... 24review accuracy..........................................................................27review or reject pairs.................................................................. 20review pending........................................................................... 29ROI............................................................................................. 22rotate image............................................................................... 25

Sscan recommendations

2D........................................................................................... 113D........................................................................................... 11

select pairs manually..................................................................21start fusion..................................................................................23start software..............................................................................12support numbers.......................................................................... 5

Ttoolbar........................................................................................ 14touchscreen shortcut

pan..........................................................................................18scroll....................................................................................... 18zoom.......................................................................................18

typical workflow.......................................................................... 12

Vverify accuracy........................................................................... 27view area.................................................................................... 14

Wwindowing...................................................................................28

INDEX


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